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General NPI Number Information
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NPI Number | 1457837734
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Entity Type | Organization
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Legal Business Name | EDWARD L BARRON JR DMD PC
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Dates
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Enumeration Date | 07/19/2018
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Last Update Date | 07/19/2018
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Provider Practice Location Address
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Address Line | 1730 ROSTRAVER RD
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City | ROSTRAVER TOWNSHIP
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State | PA
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Zip | 15012-4001
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Country | US
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Telephone | 724-929-5025
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Fax | 724-929-5060
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Provider Business Mailing Address
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Address Line | PO BOX 926
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City | BELLE VERNON
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State | PA
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Zip | 15012-0926
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Country | US
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Telephone | 724-929-5025
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Fax | 724-929-5060
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. EDWARD LEONARD BARRON JR.
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Credential | DMD
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Telephone | 412-527-0898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | DS029087L
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License Number State | PA
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